高冲击体力活动会影响髋、膝骨关节炎的关节置换风险吗？一项大规模纵向中介研究
Posted innews Orthopedics Rheumatology

High-Impact Physical Activity and Joint Replacement Risk in Hip and Knee Osteoarthritis: A Large-Scale Longitudinal Mediation Study

High-impact physical activity in patients with hip osteoarthritis is associated with a reduced 12-month risk of total hip replacement, without increasing knee replacement risk in knee OA patients. Functional capacity partly mediates this benefit, challenging traditional guidelines favoring only low-impact exercise.
急诊腹部手术后，综合呼吸与功能训练可促进撤机并加速恢复：来自随机对照试验的启示
Posted inCritical Care news Respiratory

Integrated Respiratory and Functional Training Enhances Weaning and Recovery After Emergency Abdominal Surgery: Insights from a Randomized Controlled Trial

This RCT demonstrates that combining multidimensional functional training with inspiratory muscle training and chest physiotherapy improves weaning success, muscle strength, functional independence, pain reduction, and ICU stay following emergency abdominal surgery.
女性心脏手术中急性等容性稀释的效果与安全性：血液保护策略是否仍需调整？
Posted inAnesthesiology Cardiology news

Evaluating Acute Normovolemic Hemodilution in Women Undergoing Cardiac Surgery: Efficacy, Safety, and Clinical Implications

This secondary analysis of the ANH trial found no significant reduction in allogeneic blood transfusions with acute normovolemic hemodilution in female cardiac surgery patients, but noted increased intraoperative hypotension and longer ICU and hospital stays, highlighting potential safety concerns and the need for further gender-focused research.